Asked by: Jas Athwal (Labour - Ilford South)
Question to the Home Office:
To ask the Secretary of State for the Home Department, what assessment she has made of the potential impact of the retrospective increase in ILR on skill levels in key industries such as health and social care.
Answered by Mike Tapp - Parliamentary Under-Secretary (Home Office)
The earned settlement model, proposed in ‘A Fairer Pathway to Settlement’, announced changes to the mandatory requirements and qualifying period for indefinite leave to remain. It is currently subject to a public consultation, running until 12 February 2026.
The consultation seeks views on whether there should be transitional arrangements for those already on a pathway to settlement. Transitional arrangements refer to temporary measures or rules put in place to manage the shift from one system, or policy framework, to another. We are also seeking views on the potential impacts of the proposed changes on different groups. Details of the earned settlement model, including any transitional arrangements for those already in the UK, will be finalised following that consultation.
The final model will also be subject to economic and equality impact assessments, which we have committed to publish in due course.
Asked by: Luke Taylor (Liberal Democrat - Sutton and Cheam)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, if he will list the assessments his Department has made on the potential impact of the removal of the Resident Labour Market Test in 2020 on trends in the level of doctors.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
The Department has not made a specific assessment of the impact of the removal of the Resident Labour Market Test in 2020 on trends in the level of doctors.
The number of applications to foundation and speciality training has increased over recent years, both from people graduating from United Kingdom medical schools, or UK medical graduates, and from graduates of international medical schools, or international medical graduates.
For specialty training, the number of international medical graduates applying for places has significantly increased since 2020. Data from the General Medical Council (GMC) shows that the number of non-UK trained doctors applying for Core Training Year One and Specialty Training Year One places has increased from 5,326 in 2019 to 18,857 in 2024, a 254% increase. Over the same period the number of UK trained applicants increased from 8,836 to 11,319, a 28% increase.
Internationally trained doctors may also be seeking employment outside of medical specialty training posts and GMC data shows that the proportion of doctors taking up or returning to a GMC licence to practice who were trained outside of the UK was 57% in 2019 which has increased to 66% in 2024.
To tackle bottlenecks in medical training pathways, the government introduced The Medical Training (Prioritisation) Bill to Parliament on 13 January 2026. The bill delivers the Government’s commitment in the 10-Year Health Plan for England, published in July 2025, to prioritise UK medical graduates for foundation training, and to prioritise UK medical graduates and other doctors who have worked in the NHS for a significant period for specialty training.
Asked by: Mary Glindon (Labour - Newcastle upon Tyne East and Wallsend)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what assessment his Department has made of the potential impact of the abolition of NHS England on the commissioning, oversight and consistency of access to weight management services across England.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
The National Health Service and local government provide a range of weight management services. This includes behaviour change support such as the NHS Digital Weight Management Programme, intensive treatments like very low-calorie diets, pharmaceutical treatments, and bariatric surgery. NHS integrated care boards (ICBs) are responsible for arranging the provision of health services, such as specialist weight management services, within their area, in line with local population need, and taking account of relevant guidance.
NHS England will continue to carry out its existing responsibilities and statutory functions during the transition period following the Government’s decision to abolish the organisation. This includes commissioning the NHS Digital Weight Management Programme, oversight of NHS weight management services, and providing guidance, clinical leadership, and performance oversight of ICBs, while the Government brings forward legislation to amend the Department’s responsibilities.
Work is progressing at pace to develop the design and operating model for the new integrated organisation, and to plan for the smooth transfer of people, functions, and responsibilities. It is only right that with such significant reform, we commit to carefully assessing and understanding the potential impacts, as is due process. These ongoing assessments will inform our programme as appropriate.
Until the transfer of its functions, NHS England will continue to work with ICBs and providers to support the continuity of multidisciplinary provision and workforce capacity, and access to services across England.
Asked by: Navendu Mishra (Labour - Stockport)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what assessment he has made of the potential impact of the decision to reduce NHS-funded IVF provision across Greater Manchester to one cycle on (a) patient outcomes and (b) health inequalities.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
No such assessments have been undertaken by the Department. Funding decisions for health services in England are made by integrated care boards and are based on the clinical needs of their local population. We expect these organisations to commission fertility services in line with National Institute for Health and Care Excellence guidelines, ensuring equal access to fertility treatment across England.
Asked by: Neil Duncan-Jordan (Labour - Poole)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, pursuant to the answer of 22 January 2026 to question 105956, what discussions he has had with the Secretary of State for the Home Department on the impact of the immigration white paper on NHS and social workers.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
My Rt. Hon. Friend, the Secretary of State for Health and Social Care, has regular discussions with my Rt. Hon. Friend, the Secretary of State for the Home Department on a range of subjects, including immigration policy.
The Government has published an Impact Assessment alongside the Spring 2025 Immigration Rules, which sets out the expected effects of the reforms on the Skilled Worker and Health and Care worker routes, including modelling of changes in overall visa volumes. The Impact Assessment is published on the GOV.UK website, at the following link:
https://www.gov.uk/government/publications/impact-assessments-covering-migration-policy
The forthcoming 10-Year Health Workforce Plan will ensure the National Health Service has the right people in the right places, with the right skills to care for patients when they need it. As part of that plan, we will outline strategies for improving retention, productivity, training, and reducing attrition, thereby enhancing conditions for all staff while gradually reducing reliance on international recruitment, without diminishing the value of their contributions.
For adult social care, it is also the Government’s policy to reduce reliance on international recruitment and improve domestic recruitment and retention. We recognise the scale of reform needed to make the adult social care attractive as a career and are determined to ensure that those who work in care are respected as professionals. We are introducing a new Fair Pay Agreement for Adult Social Care, implementing the first universal career structure for adult social care, and providing £12 million this year for staff to complete training and qualifications.
Asked by: Neil Duncan-Jordan (Labour - Poole)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, pursuant to the answer of 22 January 2026 to question 105956, if he will publish an assessment of the potential impact of the immigration white paper on social care workers and NHS workers.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
My Rt. Hon. Friend, the Secretary of State for Health and Social Care, has regular discussions with my Rt. Hon. Friend, the Secretary of State for the Home Department on a range of subjects, including immigration policy.
The Government has published an Impact Assessment alongside the Spring 2025 Immigration Rules, which sets out the expected effects of the reforms on the Skilled Worker and Health and Care worker routes, including modelling of changes in overall visa volumes. The Impact Assessment is published on the GOV.UK website, at the following link:
https://www.gov.uk/government/publications/impact-assessments-covering-migration-policy
The forthcoming 10-Year Health Workforce Plan will ensure the National Health Service has the right people in the right places, with the right skills to care for patients when they need it. As part of that plan, we will outline strategies for improving retention, productivity, training, and reducing attrition, thereby enhancing conditions for all staff while gradually reducing reliance on international recruitment, without diminishing the value of their contributions.
For adult social care, it is also the Government’s policy to reduce reliance on international recruitment and improve domestic recruitment and retention. We recognise the scale of reform needed to make the adult social care attractive as a career and are determined to ensure that those who work in care are respected as professionals. We are introducing a new Fair Pay Agreement for Adult Social Care, implementing the first universal career structure for adult social care, and providing £12 million this year for staff to complete training and qualifications.
Asked by: Neil Duncan-Jordan (Labour - Poole)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, pursuant to the answer of 22 January 2026 to question 105956, what assessment he has made of the potential impact of the immigration white paper on the NHS long-term staff plan.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
My Rt. Hon. Friend, the Secretary of State for Health and Social Care, has regular discussions with my Rt. Hon. Friend, the Secretary of State for the Home Department on a range of subjects, including immigration policy.
The Government has published an Impact Assessment alongside the Spring 2025 Immigration Rules, which sets out the expected effects of the reforms on the Skilled Worker and Health and Care worker routes, including modelling of changes in overall visa volumes. The Impact Assessment is published on the GOV.UK website, at the following link:
https://www.gov.uk/government/publications/impact-assessments-covering-migration-policy
The forthcoming 10-Year Health Workforce Plan will ensure the National Health Service has the right people in the right places, with the right skills to care for patients when they need it. As part of that plan, we will outline strategies for improving retention, productivity, training, and reducing attrition, thereby enhancing conditions for all staff while gradually reducing reliance on international recruitment, without diminishing the value of their contributions.
For adult social care, it is also the Government’s policy to reduce reliance on international recruitment and improve domestic recruitment and retention. We recognise the scale of reform needed to make the adult social care attractive as a career and are determined to ensure that those who work in care are respected as professionals. We are introducing a new Fair Pay Agreement for Adult Social Care, implementing the first universal career structure for adult social care, and providing £12 million this year for staff to complete training and qualifications.
Asked by: Bradley Thomas (Conservative - Bromsgrove)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what plans his Department has to introduce financial support for family’s impacted by brain tumours following the concerning findings in the Brain Tumour Charity’s recent report; and what plans his Department has to increase support for the charities who help families impacted by brain tumours.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
To ensure people living with brain tumours have care which addresses their financial concerns, NHS England has committed to ensuring that every person diagnosed with cancer has access to personalised care. This includes needs assessments, a care plan, and health and wellbeing information and support. Through the provision of information, personalised care empowers people to manage their care and the impact of their cancer, including the financial impact on their families.
The Department for Work and Pensions provides a range of benefits and support for families with people with a range of health conditions and disabilities, including for those impacted by high grade or life limiting brain tumours. These include Universal Credit, Employment Support Allowance, Personal Independence Payment, Carer's Allowance, and Access to Work. The Pathways to Work Green Paper was built on the principle that the Government should support those who can work to do so, while protecting those who can’t, and we have already made significant progress bringing forward proposals from the Green Paper to transform the support we offer.
To support charities, including those who help families impacted by brain tumours, the Department of Health and Social Care has a Voluntary, Community and Social Enterprise (VCSE) Health and Wellbeing Programme. This is a mechanism through which the Department, NHS England, and the UK Health Security Agency work together with VCSE organisations to:
In addition, the National Cancer Plan, which is due to be published shortly, has featured significant ongoing engagement with charities, covering topics such as how to improve the experience of people living with cancer. The plan will have patients at its heart and will cover the entirety of the cancer pathway, including support for people living with brain tumours and their families.
Asked by: Al Pinkerton (Liberal Democrat - Surrey Heath)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what assessment his Department has made of the potential impact of the level of NHS provision on families seeking private (a) assessments and (b) therapies for children with dyspraxia in Surrey.
Answered by Zubir Ahmed - Parliamentary Under-Secretary (Department of Health and Social Care)
It is the responsibility of integrated care boards (ICBs) to make available appropriate provision to meet the health and care needs of their local population.
Children with developmental coordination disorder, commonly known as dyspraxia, access support through local National Health Service occupational therapy, paediatrics, physiotherapy, and educational services.
NHS guidance sets out a referral process which typically begins with a general practitioner, health visitor, or a Special Educational Needs Coordinator, who may refer the child to paediatric occupational therapy and physiotherapist for assessment and support. The NHS guidance is available at the following link:
https://www.nhs.uk/conditions/developmental-coordination-disorder-dyspraxia/
For the first time, we have set a target for systems to work to reduce long waits for community health services. By 2028/29 at least 80% of community health services activity should take place within 18 weeks, bringing community health services in line with targets for elective care.
Surrey Health provides occupational therapy support for children with dyspraxia of all ages. They provide speech and language therapy support for children under five years old who have verbal dyspraxia and a school aged speech and language therapy service for children over five years old.
Referrals for continence, occupational therapy, speech and language therapy and physiotherapy can be made directly by parents/carers as well as the child’s health visitor, general practitioner, therapist, early years’ service, hospital paediatricians, audiology service, Mindworks Surrey, and other agencies.
This is for speech and language therapy support for those under five years old, and therefore not in a school setting, and for occupational therapy of all ages. If a child is in school and requires speech and language therapy, the referral is through the school as the service is a school-based service.
Asked by: James McMurdock (Independent - South Basildon and East Thurrock)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps the Department is taking to ensure that AI systems used in A&E departments comply with NHS data governance, patient privacy and cybersecurity requirements.
Answered by Zubir Ahmed - Parliamentary Under-Secretary (Department of Health and Social Care)
The Government is dedicated to ensuring patient privacy while leveraging artificial intelligence (AI) in healthcare. We have engaged patients and the public in discussions on how and why health data should be accessed for AI systems. The Department and NHS England have implemented robust data protection measures, including Data Protection Impact Assessments and adherence to UK General Data Protection Regulation, to safeguard patient data. All National Health Service trusts and providers must complete a Digital Technology Assessment Criteria (DTAC) assessment to fully assure that the technologies they use are safe, effective, and that data is protected. This includes technologies used in accident and emergency departments. The DTAC evaluates products to ensure NHS standards for safety, usability, and accessibility are met, with clear evidence requirements and scoring criteria included for each area.
The accident and emergency demand forecasting tool, within the NHS England Federated Data Platform, is trained on pseudonymised data, and with only aggregate non-patient level outputs reaching the dashboard users. Regular risk reviews occur to ensure it is as low risk as possible in terms of cyber security and patient privacy and that it follows NHS data governance.
The Department and the NHS England Information Governance Team provide guidance for patients, health care professionals, and information governance professionals on the use of AI in the NHS and NHS settings such as accident and emergency departments.
The Department works closely with the NHS and its suppliers to share threat intelligence on evolving AI cyber threats.